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Individual

PATRICE MARIE STAMOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
66 CLUB RD STE 160, EUGENE, OR 97401-2439
(541) 345-1722
(541) 485-7049
Mailing address
PO BOX 70779, SPRINGFIELD, OR 97475-0137
(541) 345-1722
(541) 485-7049

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
103382
CA
1041C0700X
Clinical Social Worker
149.015677
IL
1041C0700X
Clinical Social Worker
Primary
L12651
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12166327
CAQH ID
05
500799653
OR
Enumeration date
02/12/2010
Last updated
03/14/2023
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